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Nursing Home in Iowa

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Hawkeye Care Center Dubuque

Nursing Home in Iowa

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Hawkeye Care Center Dubuque

Asbury, IA 520020420 View map
Overview of Hawkeye Care Center Dubuque
Hawkeye Care Center is a senior living community located in Asbury, Iowa. It offers a variety of services including skilled nursing, rehabilitation, long-term care, respite care, and assisted living. The facility is designed to provide a safe and engaging environment for residents.
(563) 583-6447

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Iowa average: 3.2/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Iowa average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
Iowa average: 3.7/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5
Iowa average: 3.5/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
4h 18m per day

This home provides 2% less nursing time per resident than the Iowa average.

Iowa average: 4h 25m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 80

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Iowa average
Occupancy rate 88.8%
Residents per day (avg) 70
Occupancy rate
88.8%
Residents per day (avg)
70

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

82% of new residents, usually for short-term rehab.

Typical stay 17 days

Private pay

14% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

4% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$9.7M
Operating loss
-$262.6K
Privately-owned community Operated by a business corporation.
Home revenue
$9,696,588.00
Operating loss
$-262,594.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
43.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.7M
Total costs $10.0M
Bed community size
80-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
89%
In line with Iowa average
Occupied beds
71 / 80
Average residents 51 per day

License details

Facility type
Free Standing Nf/snf
Status Active
County: Dubuque

Additional licensing details

License number: 310463
CMS Certification Number: 165565
Certification type: FALSE

Ownership & operating entity

Hawkeye Care Center Dubuque is administrated by Tracey Long.

Safety & Compliance

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab

All Levels of Care

Skilled Nursing
Long-Term Care
Respite Care
Rehabilitation
Palliative Care
Assisted Living
Assisted Living Memory Care

Contact Information

Fax: 5635835707

Additional Policies & Features

Admission Criteria: A Physician’s Order, TB Skin Test, Social Security Card, Medicare Card, Health insurance policy card.
Housekeeping: Yes

Amenities & Lifestyle

Delicious Meals With Daily Options
State Of The Art Physical
Occupational
And Speech Therapy Gym
24-Hour Nursing Care Access
Engaging Activities Program
Housekeeping Service
Paved Walking Areas
Courtyard
Spacious Activities Center

Programs & Activities

Activities
Engaging activities program with daily reminders.
Specific Programs
Skilled Nursing, Long-Term Care, Respite Care, Rehabilitation, Palliative Care, Assisted Living, Assisted Living Memory Care
Operating Hours
24 hours a day

Dining & Nutrition

Food Description
Meals are prepared by an experienced staff, with a variety of menu options. Delicious meals with daily options are available.
Contact Hawkeye Care Center Dubuque

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

25 visits/inspections

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Latest inspection

Date December 19, 2025

26 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Hawkeye Care Center Dubuque

The most recent inspection on December 19, 2025 found the facility in substantial compliance with no deficiencies noted. Earlier inspections showed a pattern of deficiencies primarily related to care planning, infection prevention and control, and quality assurance processes. Several complaint investigations were conducted over time, most of which were unsubstantiated, with one substantiated complaint in 2025 involving issues with advance directives and infection control. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility’s inspection history shows some improvement, as recent surveys have fewer deficiencies compared to earlier years when care and infection control issues were more frequent.

Health Inspection History

Inspections
Total health inspections 3

Iowa average 4.9


Last Health inspection on Sep 2025

Total health citations 10

Iowa average 21.7

Citations per inspection
3.33

Iowa average 4.11


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 10 citations resulted from standard inspections; and 2 of 10 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Iowa average

Iowa average: 0.6


Serious Health citations More info 1
11% worse than Iowa average

Iowa average: 0.9

0 critical citations More info Iowa average: 0.6

1 serious citation More info Iowa average: 0.9

9 moderate citations More info Iowa average: 19.7

0 minor citations More info Iowa average: 0.5
Citations history (last 3 years)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Sep 18, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 18, 2025
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Sep 18, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Sep 12, 2024
Corrected

Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated Apr 2026

Filter by care type
Hawkeye Care Center Dubuque
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Asbury
80
91.3%
+21%
4.31
+52%
0%
0
10
3.3
1
70
Hawkeye Care Center Of Dubuque Llc
$9.7M
$4.2M
43.8%
165565
Akron Care Center, INC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Akron
45
98.1%
+30%
4.71
+15%
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Carlisle
46
80.5%
+7%
5.85
-40%
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Spirit Lake
85
66.6%
-12%
4.29
-8%
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Lake City
46
70.4%
-7%
5.17
-33%
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082

Places of interest near Hawkeye Care Center Dubuque

Address Asbury, IA 520020420

Address Asbury, IA 520020420

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 159
Employees 122
Contractors 37
Staff to resident ratio 2.21:1
11% better than Iowa average

Iowa average ratio: 2.00:1

Avg staff/day 45
Average shift 6.9 hours
7% worse than Iowa average

Iowa average: 7.4 hours

Total staff hours (quarter) 28,407
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 83
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.8 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

10.1%

2,873 contractor hours this quarter

Certified Nursing Assistant: 15 Physical Therapy Aide: 4 Speech Language Pathologist: 4 Registered Nurse: 3 Licensed Practical Nurse: 3 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant68158314,22691100%6.8
Registered Nurse253285,29691100%8.2
Licensed Practical Nurse123152,85291100%7
Clinical Nurse Specialist3038887077%7.5
RN Director of Nursing2028156875%7.3
Speech Language Pathologist0446736571%6.1
Administrator1015126470%8
Dietitian1014835965%8.2
Physical Therapy Aide0444617178%6.2
Respiratory Therapy Technician0224476774%6
Nurse Practitioner1014245358%8
Mental Health Service Worker1013945560%7.2
Physical Therapy Assistant0223716066%6.2
Other Dietary Services Staff2021853741%5
Occupational Therapy Aide0111682426%7
Medication Aide/Technician5051312629%4
Qualified Social Worker011351415%2.5
Occupational Therapy Assistant0113289%4
Dental Services Staff1011222%6.2
Medical Director011111%1
83 Certified Nursing Assistant
% of Days 100%
28 Registered Nurse
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 77%
2 RN Director of Nursing
% of Days 75%
4 Speech Language Pathologist
% of Days 71%
1 Administrator
% of Days 70%
1 Dietitian
% of Days 65%
4 Physical Therapy Aide
% of Days 78%
2 Respiratory Therapy Technician
% of Days 74%
1 Nurse Practitioner
% of Days 58%
1 Mental Health Service Worker
% of Days 60%
2 Physical Therapy Assistant
% of Days 66%
2 Other Dietary Services Staff
% of Days 41%
1 Occupational Therapy Aide
% of Days 26%
5 Medication Aide/Technician
% of Days 29%
1 Qualified Social Worker
% of Days 15%
1 Occupational Therapy Assistant
% of Days 9%
1 Dental Services Staff
% of Days 2%
1 Medical Director
% of Days 1%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
72 residents
Residents by payment source
Medicare
15 residents (20.8%)
Medicaid
23 residents (31.9%)
Private pay or other
34 residents (47.2%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.9
36% worse than Iowa average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.4
41% worse than Iowa average

Iowa average: 21.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.5%
14% worse than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 34.6%
76% worse than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 35.2%
34% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.1%
13% better than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.8%
13% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.3%
8% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
28% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.6%
86% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.7%
44% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.5%
In line with Iowa average

Iowa average: 95.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.1%
15% better than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.7%
7% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8%
31% better than Iowa average

Iowa average: 73.3%

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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